Sclero Complications and Fatigue
Mild to extreme fatigue is a common symptom of scleroderma. It affects your daily activities and overall quality of life. Fatigue is not in your head.
It is caused by physiological problems as well as psychological problems associated with the disease or other symptoms of the disease.
Fatigue can affect your ability to carry out daily activities and overall quality of life. Fatigue is not in your head, it is caused by both physiological and psychological problems of the disease and its symptoms.
There is no cure for fatigue although there are some treatments that may help such as antidepressants and low impact aerobic exercise.
Fatigue is difficult to explain because most people think that rest or sleep relieves it. This lack of understanding can be very frustrating for those of us with scleroderma and our family and friends. We are frustrated by a perceived lack of understanding and sympathy and family and friends are frustrated by our inability to function as we once did because of something that seems so trivial.
It is important to give yourself permission to acknowledge that fatigue is a real problem and you have to accommodate it with lifestyle changes, pacing yourself, resting and/or sleeping when you need for as long as you need and most importantly learning to say NO!
Debilitating, Profound Fatigue Reported by Patients with Autoimmune Diseases Such as Scleroderma. Fatigue is a real symptom, yet for too long, it has been ignored and/or misunderstood by the medical community and the public at large. Scleroderma News, 04/22/2015.
Assessment of fatigue using the Multidimensional Fatigue Inventory (MFI) in patients with major depressive disorder (MDD). The Chinese MFI-20 is a valid and reliable instrument for the assessment of fatigue in MDD patients with residual symptoms. The construct of fatigue in MDD seems to be different from that in medical conditions. Comprehensive Psychiatry, 06/30/2014. (Also see Depression)
Fatigue: an overlooked determinant of physical function in scleroderma. Our findings indicate that fatigue is common in scleroderma and that pain and fatigue are significant determinants of physical functioning for patients with limited and diffuse disease subtypes. Sandusky SB. (PubMed) Rheumatology (Oxford).
Fatigue. Fatigue can refer to a subjective symptom of malaise and aversion to activity or to objectively impaired performance. British Medical Journal (BMJ).
Fatigue. A condition characterized by a lessened capacity for work and reduced efficiency of accomplishment, usually accompanied by a feeling of weariness and tiredness. Fatigue can be acute and come on suddenly or chronic and persist. MedicineNet.com
Fatigue Causes. Heart disease, lung disease, connective tissue disease, electrolyte disturbances, GERD and many other disorders. eMedicineHealth.
Fatigue in primary Sjögren's (pSS) syndrome is associated with lower levels of proinflammatory cytokines. Cytokines, pain and depression appear to be the most powerful predictors of fatigue in pSS and our data challenges the notion that proinflammatory cytokines directly mediate fatigue in chronic immunological conditions. PubMed, RMD Open, 2016 Jul 19;2(2):e000282. (Also see Symptoms and Complications of Sjögren's Syndrome)
Physical activity, sleep quality, and self–reported fatigue across the adult lifespan. These results support the hypothesis that physical activity may be associated with sleep quality in older adults, and suggest that improved sleep may mitigate self–reported fatigue in older adults in a manner that is independent of activity. PubMed, Exp Gerontol, 02/04/2016. (Also see Sleep Disorders)
Fatigue screening in breast cancer patients: identifying likely cases of cancer-related fatigue (CRF). Breast cancer patients and survivors meeting CRF diagnostic criteria can be accurately identified using brief screening indices derived from common self-report fatigue measures. PubMed, Psycho–Oncology, 07/29/2015. (Also see Breast Cancer)
Can the Cancer-related Fatigue Case-definition Criteria Be Applied to Chronic Medical Illness? A Comparison between Breast Cancer and Systemic Sclerosis. Harmonized definitions and measurement of clinically significant fatigue will advance research and clinical management of fatigue in rheumatic diseases and other conditions. PubMed, J Rheumatol, 06/01/2015. (Also see Breast Cancer)
How to Tell When Feeling Tired Is a Sign of a Health Problem. It's not always easy to spot problematic lack of energy and the best advice is to pay close attention to exactly how it feels so you can describe it to your doctor in detail. Time Healthland, 04/19/2015.
Central pathways causing fatigue in neuro-inflammatory and autoimmune illnesses. Peripheral inflammation and immune activation, likely account for the severe levels of intractable fatigue and disability seen in many patients with neuroimmune and autoimmune diseases. BMC Medicine, 03/06/2015.
Placebo-induced decrease in fatigue: evidence for a central action on the preparatory phase of movement. This placebo-induced modulation suggests that placebos reduce fatigue by acting centrally during the anticipatory phase of movement, thus emphasizing the important role of the central nervous system in the generation of fatigue. PubMed, Eur J Neurosci, 12/19/2014.
Managing treatment fatigue in patients with multiple sclerosis (MS) on long-term therapy: the role of multiple sclerosis nurses. Patients with MS on long-term therapy may suffer from treatment fatigue and poor adherence. MS nurses are ideally situated to help patients cope with any factors that may limit adherence. PubMed, Patient Prefer Adherence, 2014 Aug 19;8:1093-9. (Also see Multiple Sclerosis)
Fatigue effects in daily life activities of kidney transplant recipients. Fatigue is directly related to the level of activities of daily living, causing less ability to perform activities in the higher level of fatigue, which is in the immediate postoperative period and only settling fully on the 9th postoperative day. PubMed, Transplant Proc, 2014 Jul-Aug;46(6):1745-9. (Also see Kidney Transplant)
Cancer-Related Fatigue. Fatigue is a daily lack of energy; an unusual or excessive whole-body tiredness not relieved by sleep. It can be acute (lasting a month or less) or chronic (lasting from one month to six months or longer). Fatigue can prevent a person from functioning normally and impacts a person's quality of life. Cleveland Clinic.
Three-Year Study Reveales Functional Disability and Fatigue Scores Remain Stable in Systemic Sclerosis Patients. Although systemic sclerosis causes increasing disability and symptom aggravation over time, this study contributes to the growing idea that systemic sclerosis is not necessarily a progressive disease. Scleroderma News, 07/30/2015.
Your Guide to Never Feeling Tired Again, Read on for some simple, recharging changes that can help you tackle all of the energy stealers in your life. WebMD.
Biliary Cirrhosis Symptoms. Symptoms include chronic fatigue, intense and unrelenting skin itching, gradual darkening of the skin, small yellow or white bumps under the skin (usually around the eyes), dry eye syndrome, thyroid problems, and arthritic aches and pains. ISN.
Cardiac Involvement. Diffuse scleroderma can cause arrhythmias, pericardial effusion, and heart failure. Formation of scar tissue in the heart and lungs has recently been recognized as a general pattern probably contributing to overall fatigue. ISN.
Sjogren's Syndrome. Hallmark symptoms of Sjögren's include dry eyes, dry mouth, dry vagina. Sjögren's can also cause fatigue, and it can affect the skin, lungs, heart, kidneys, muscles, and central nervous system. ISN
Fatigue in patients with systemic sclerosis (SSc) and hypothyroidism. A review of the literature and report of our experience. The results suggest that female SSc patients could be screened for thyroid function, overall in presence of fatigue symptoms, and that an appropriate L-thyroxine substitutive therapy could be useful to mitigate these symptoms. PubMed, Clin Exp Rheumatol, 04/04/2017. (Also see Thyroid Diseases)
Fatigue in Systemic Sclerosis: An Unwelcome Symptom. The fatigue that accompanies scleroderma can quite often be overlooked, with the initial management of the disease focussing on the more important, life threatening skin and organ fibrosis progression. Scleroderma News, 04/04/2016.
Fatigue Treatment. Medical treatment of fatigue depends on the treatment of its underlying cause(s). Fortunately, many causes of fatigue may be treated with medications. eMedicineHealth.
The treatment of fatigue by non–invasive brain stimulation (NIBS). Fatigue is a commonly observed symptom in the field of potentially treatable pathologies by NIBS, yet very little data has been published regarding its treatment. PubMed, Neurophysiol Clin, 2017 Apr;47(2):173-184.
Alexandra: Scleroderma My scleroderma symptoms arrived in great style: reflux, itchy swollen skin, joint and muscle pain and tiredness. Plus hundreds of little red spots (telangiectasia). My mouth was tight and getting smaller too…
Angel G: Systemic Scleroderma with Raynaud's Phenomenon I noticed that the middle finger on my right hand had turned so dark in color that it was practically black and I actually thought there was ink on it and tried to wash it off. Oh, if only the remedy had been so easy…
Carrie Maddoux: Diagnosis, a Work in Progress I was overwhelmed with a general feeling of nausea, sweats, fever and fatigue…
D.M. Hoffe: Progressive Systemic Sclerosis (Scleroderma CREST) After an endoscopy it was discovered I had a Watermelon Stomach…
Dawn M: Linear/Systemic Scleroderma My family and I were informed by the doctors, that the localized/linear form of scleroderma that I was diagnosed with, would never progress into the potentially fatal, systemic form…
Dee B: Limited Scleroderma/CREST Syndrome I also had the problem with people saying I was a hypochondriac, as at that stage all the doctors I saw found nothing wrong with me, but I constantly felt weary and ill…
Donna: CREST, Raynaud's, possible Fibromyalgia I was diagnosed with CREST (Limited Systemic Scleroderma) by a rheumatologist in 2006. This wasn't really a surprise to me as my mother was diagnosed with diffuse scleroderma in 1998…
Donna C: Undifferentiated Connective Tissue Disease (UCTD) For the most part I have still been doing very good. Some little setbacks here and there but for the most part much better…
Iko H: Limited Systemic Sclerosis (Belgium) I am fifty-one years old and in May 2011 my diagnosis of scleroderma was confirmed. I am studying for horse veterinarian and am in my last year…
Jaci: MCTD and Autoimmune Hepatitis Out of fear of going back to the doctors, I tried just to live with it, whatever it was. What I found strange was that nobody seemed to noticed how terrible I was feeling, not even the doctors…
Janet Q: UTCD or MCTD I also experienced new symptoms; joint pain, muscle aches, headaches, very painful carpal tunnel syndrome in both hands, back and neck pain, the list grew on and on…
Janice E: CREST/Fibromyalgia At some point I came to the realization that what I was feeling just could not be normal. By this time my hands were swelling…
Julie T: Surviving Daughter of a Diffuse Scleroderma Patient Our family deals with most difficult situations with laughter and humor, even in the most trying times…
Kerrie: CREST Syndrome with Limited Scleroderma If I was not stressed before I went in, I certainly was then. I am going to get referred on to see someone different. Hopefully, I will be luckier second time around…
Krisha S: Multiple Autoimmune Condition I have multiple sclerosis (MS), fibromyalgia, and Stiff Person Syndrome…
Missie R: Mixed Connective Tissue Disease I finally asked for an ANA test to check for lupus. My family doctor hesitated because my symptoms were all over the board…
Rhonda L: Systemic Scleroderma I have recently been diagnosed with sclerodema, and am still trying to wrap my brain around this…
Rosie: Limited Systemic Sclerosis (Australia) Some of my symptoms may not be due to limited scleroderma, however most of these symptoms have appeared since my diagnosis…
Yvette: Undifferentiated Connective Tissue Disease (UCTD) and Thyroid Cancer For now, I have accepted that the diagnosis of my core problem is not important. The way I choose to deal with it is…
Chronic Fatigue Syndrome. Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. ISN.
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